MEDICARE: JAMES RAGAZINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	79479	GA

General Provider Information

NPI Number	:	1457747503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RAGAZINO

Provider Business Mailing Address
First Line	:	2300 MANCHESTER EXPY STE 2001A
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6802
Country	:	US
Telephone Number	:	706-320-3126
Fax Number	:	706-320-3054

Provider Business Practice Location Address
First Line	:	500 W 3RD AVE STE 105
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-1900
Country	:	US
Telephone Number	:	229-312-7001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	08/07/2024

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Directions to “ JAMES RAGAZINO ” Practice Location

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